Are we burying our heads in the sand? Preventing small bowel obstruction from the V-loc (R) suture in laparoscopic ventral rectopexy

作者：Sakata S^*; Kabir S; Petersen D; Doudle M; Stevenson A R L

来源：Colorectal Disease, 2015, 17(9): O180-O183.

DOI：10.1111/codi.13057

• Barbed suture
• complications
• bowel obstruction
• ventral rectopexy

AimThere have been increasing reports in the literature highlighting the complication of V-loc (R) associated small bowel obstruction in patients after laparoscopic ventral rectopexy.
Methods and ResultsUsing clinical and experimental evidence, we demonstrate that bowel obstruction from the V-loc (R) following laparoscopic ventral rectopexy will still occur despite the technical recommendations to bury or cut its barbed end flush.
ConclusionThe risk of bowel obstruction from the V-loc (R) following laparoscopic ventral rectopexy is not negated by burying or cutting its barbed end flush. We have proposed its pathogenesis to refute commonly held assumptions about its prevention.

• 出版日期2015-9